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Lac Qui Parle Clinic Of Madison, Inc

Lac Qui Parle Clinic Of Madison, Inc is a health care provider in Madison, MN. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 820 3rd Ave, Madison, MN 56256-1014, US
Practice Location Phone320-598-7551
Practice Location Fax320-598-7553
Legal Business NameLAC QUI PARLE CLINIC OF MADISON, INC
NPI ?1144266156
Entity TypeOrganization
Enumeration Date ? Jun 20, 2006
Last Update Date ? Aug 16, 2017
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Lac Qui Parle Clinic Of Madison, Inc

SpecialtySpecializationLicenseLicense State
Clinic/CenterRural Health

legacy-id-icon Legacy Provider IDs of Lac Qui Parle Clinic Of Madison, Inc

Provider IdIssuer StateIssuer TypeIssuer
106646MinnesotaOtherUCARE
3F739LAMinnesotaOtherBCBS
933813600MinnesotaMedicaid

official-icon Authorized Official of Lac Qui Parle Clinic Of Madison, Inc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Lac Qui Parle Clinic Of Madison, Inc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mrs. Carol M Borgerson
Authorized Official Title/PositionCFO
Authorized Official Phone Number320-698-7152